Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleAçık Erişim2025Ürolojik Cerrahi Geçirecek Erkek Hastaların Beden Tutumunun Psikolojik İyilik Halleri ve Cinsel Doyuma Etkisi: Tanımlayıcı ve İlişkisel Bir Araştırma
Uzun, Sevda; Atasayar, Belgin Şen; Emirza, Elif Güzide
Bu araştırma, ürolojik cerrahi geçirecek erkek hastaların beden tutumlarının psikolojik iyilik halleri ve cinsel doyumları üzerine etkisini incelemek amacıyla yapılmıştır. Araştırma tanımlayıcı ve ilişkisel tiptedir. Veriler Ağustos-Ekim 2024 tarihleri arasında Türkiye’nin bir ilinde ikamet eden ve ürolojik cerrahi geçirecek 111 erkek hastadan Google form aracılığıyla toplanmıştır. Araştırmada veriler “Kişisel Bilgi Formu”, “WHO-5 İyilik Hali İndeksi”, “Erkeklere Özgü Beden Tutum Ölçeği” ve “Yeni Cinsel Doyum Ölçeği-Kısa Form” kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, Pearson korelasyon testi, bağımsız örneklem t-testi, one-way ANOVA ve regresyon analizleri kullanılmıştır. Ürolojik cerrahi geçirecek erkek hastaların beden tutumlarının, psikolojik iyilik hallerini ve cinsel tatminlerini de etkilediği belirlenmiştir. Ayrıca bu hastaların medeni durumu, hastalığın cinsel ve psikolojik etkisi, tıbbi tanısı, hastalığın neden olduğu beden memnuniyetsizliği ve birlikte yaşadığı kişilerin de beden tutumu, psikolojik iyilik hali ve cinsel doyumu ve alt boyutlarından bazıları ile ilişkisi olduğu görülmüştür (p<0,05). Araştırma sonucuna göre, toplumda ürolojik sorunların erkek cinsel sağlığı üzerindeki olumsuz etkisinin anlaşılması için özellikle psikiyatri ve cerrahi klinik hemşirelerinin bu hastalara yönelik görüşme ve eğitim programları düzenlemesi önerilmektedir. Ayrıca bu hastalara psikolojik destek sağlanmalı ve beden algılarına yönelik değerlendirip uygun psikoterapötik müdahale de bulunulmalıdır.
- MakaleAçık Erişim2025Kardiyak Cerrahi Geçiren Hastaların Yaşadığı Psikososyal Sorunlar ve Yaşam Deneyimleri: Nitel Çalışma
Uzun, Sevda; Atasayar, Belgin Şen; Emirza, Elif Güzide
Amaç: Bu araştırmanın amacı, kardiyak cerrahi geçiren hastaların yaşadıkları psikososyal sorunlar ve yaşam deneyimlerini fenomenolojik bir yaklaşımla değerlendirmektir. Gereç ve Yöntemler: Bu çalışmada, nitel araştırma yöntemi kullanılmıştır. Araştırma, Türkiye’nin kuzeyinde yer alan bir ildeki kardiyak cerrahi geçirmiş ve taburcu olmuş 15 hastayla yüz yüze yürütülmüştür. Veriler, yarı yapılandırılmış derinlemesine görüşmelerle elde edilmiştir. Örneklem seçiminde, amaçlı örnekleme yöntemi tercih edilmiştir. Görüşmeler, veri doygunluğu sağlanana kadar sürdürülmüştür. Elde edilen veriler, tematik analiz yöntemiyle analiz edilmiştir. Araştırma süreci ve raporlaması, Nitel Araştırma Raporlama için Konsolide Kriterler kontrol listesi doğrultusunda gerçekleştirilmiştir. Bulgular: Verilerin analizinde, “açık kalp cerrahisi operasyonunun etkileri” ve “açık kalp cerrahisi sonrası iş yaşamı ile günlük yaşam aktivitelerine adaptasyon” olmak üzere 2 ana tema bulunmuştur. Ayrıca 8 alt tema (duygusal, fiziksel, sosyal, beslenme, aile hayatı, sosyal yaşam, iş yaşamı ve hastalık/sağlık) saptanmıştır. Katılımcılardan alınan ifadelere göre belirlenen bu temalar doğrultusunda bulgular yorumlanmıştır. Sonuç: Bu çalışmada, kardiyak cerrahi sonrası hastaların yaşam tarzlarında meydana gelen değişimlerin anksiyete, stresle baş etmede zorluk, yorgunluk, uyku sorunları, beslenme problemleri, günlük yaşamda başkalarına bağımlı olma, aile içindeki rollerin değişmesi ile sosyal ve iş yaşamında çeşitli zorluklara yol açtığı görülmüştür. Bu durumların, hastaların günlük yaşamlarına geri dönmelerini geciktirdiği ve uyum süreçlerini zorlaştırdığı belirlenmiştir. Bu nedenle kardiyak cerrahi geçiren hastaların yalnızca fiziksel değil, psikososyal yönden de desteklenmeleri büyük önem taşımaktadır.
- MakaleAçık Erişim2025Through the eyes of healthcare professionals: Compassion fatigue and earthquake stress coping strategies of healthcare professionals in the disaster region following the Kahramanmaras centered earthquakes: A case-control study
Emirza, Elif Güzide; Uzun, Sevda; Şenses, Medine
Background: Healthcare professionals serving in the earthquake zone may experience mental problems due to the traumatic events they witnessed. Aim: The aim of this study was to evaluate the effect of working in earthquake-affected areas on compassion fatigue and coping strategies for earthquake stress in healthcare professionals compared to a control group. Methods: This descriptive and correlational study was conducted in three provinces in the northern region of Türkiye. The sample of the study consisted of 146 healthcare professionals working in earthquake-affected regions and 143 healthcare professionals not working in earthquake-affected regions. Data were collected using the ‘Descriptive Information Form’, ‘Compassion Fatigue Short Scale (CF-SS)’, and ‘Coping with Earthquake Stress Scale (CESS)’. Descriptive statistics, t-test for independent samples, Pearson correlation analysis and binary logistic regression analysis were used to analyze the data. Results: Statistically significant differences were found between healthcare professionals working in earthquake-affected regions and healthcare professionals not working in these regions in terms of CF-SS total scores, ‘occupational burnout’ sub-dimension mean scores and ‘seeking social support’ mean scores among CESS sub-dimension mean scores (p <.05). However, no statistically significant difference was found between the mean scores of ‘secondary trauma’ sub-dimension of CF-SS and total-CESS, ‘religious coping’, and ‘positive reappraisal’ (p >.05). A high and positive correlation (r =.805; r =.847; r =.847; r =.695, p <.001) was found between total CF-SS scores and total religious coping, positive reappraisal and seeking social support scores of the participants. In addition, working in the earthquake zone negatively affects positive reappraisal and positively affects seeking social support as a significant predictor (β =.081, OR = 0.922, p <.05; β =.111, OR = 1.117, p <.05). Conclusion: A significant positive relationship was observed between compassion fatigue and coping with earthquake stress. At the same time, it was determined that having worked in the regions affected by earthquakes had a strong positive effect on coping strategies with earthquake stress.
- MakaleAçık Erişim2025Secondary Traumatic Stress and Coping Experiences in Psychiatric Nurses Caring for Trauma Victims: A Phenomenological Study
Gülirmak Güler, Kübra; Uzun, Sevda; Emirza, Elif Güzide
Aim: In this study, it was aimed to evaluate the secondary traumatic stress and coping experiences of psychiatric nurses who care for people who have experienced psychological trauma with a phenomenological approach. Materials and Methods: In this study, semi-structured in-depth interviews were conducted with 18 psychiatric nurses residing in Turkey using the phenomenological research method. The criterion sampling method was used to reach the sample group. Interviews continued until data saturation was achieved, and all interviews were audio-recorded and then transcribed. The data were analysed using thematic analysis. The study was conducted and reported using the COREQ checklist. Findings: In the analysis of the data, three themes (difficulties in caring for people who have experienced trauma, the effects of caring for people who have experienced trauma on the individual and coping, reflections of secondary trauma on the profession) and seven sub-themes (mental, physical, social, psychosocial difficulties and coping, quality of care, professional and organisational aspects) were identified. Conclusion: As a result of the study, it was determined that secondary traumatic stress was observed in psychiatric nurses caring for individuals who experienced psychological trauma. It was determined that caring for people who have experienced psychological trauma can negatively affect nurses psychosocially, and individuals have difficulty coping. In line with the results of the study, it is thought that necessary intervention programs should be created for nurses experiencing secondary traumatic stress.
- MakaleAçık Erişim2025Investigation of perceived parental attitude in children exposed to sexual abuse: A case-control study
Bayrak, Nurten Gülsüm; Emirza, Elif Güzide; Uzun, Sevda
Background: The enduring impact of children being subjected to sexual abuse is characterized by lasting traumatic effects. Aims: This study aims to assess the influence of perceived parental attitudes on the incidence of sexual abuse in children who have experienced such abuse, comparing them with a control group. Methods: The research took place at the Child Advocacy Center (CAC) of a hospital in northern Turkey and in the pediatric outpatient clinics of the same institution. The study evaluated 101 children who were exposed to sexual abuse and 100 children who were not. Data collection took place between November 2022 and August 2023. The study employed a ‘Descriptive Information Form’ and the ‘Parental Attitude Scale’ for both case and control groups. The t-test for independent samples, descriptive statistics, and logistic regression analysis were used for data analysis. Results: Analysis of scores from the Parental Attitude Scale revealed significantly lower mean scores in acceptance-involvement and strictness-supervision in the case group (p <.05). The mean scores for ‘acceptance-involvement’ (X¯ = 22.82 ± 6.26, X¯ = 25.71 ± 3.89) were highest in the case and control groups. Neglectful attitude (38.6%) was more prevalent in the case group, while the control group exhibited a higher frequency of democratic attitude (37%). In terms of predictors, acceptance-involvement (OR = 1.091, p =.005) and maternal employment (OR = 4.410, p <.001) were identified as the most significant predictors of exposed to sexual abuse. The study’s Cronbach’s alpha value for the scale was α =.743. Conclusion: The study’s findings on parental attitudes suggest a potential connection between children’s exposure to sexual abuse and inadequate parental acceptance, involvement, supervision, and control.
- MakaleAçık Erişim2025Psychosocial problems experienced by intensive care nurses regarding sleep pattern within the scope of working conditions: A phenomenological study
Atasayar, Belgin Şen; Emirza, Elif Güzide; Uzun, Sevda
Background: Nurses working in intensive care units experience insomnia and accompanying psychosocial problems due to working conditions. Aim: This study explores with a phenomenological approach the psychosocial problems experienced by intensive care nurses regarding sleep patterns within the scope of working conditions. Study Design: In this phenomenological study, semi-structured in-depth interviews were conducted with 16 nurses working in the surgical intensive care unit of a state hospital in Türkiye. Criterion sampling method, one of the purposive sampling methods, was used to reach the sample group. Researchers' interviews continued until they reached data saturation. All interviews were recorded on a voice recorder after obtaining the necessary permissions from the nurses and then transcribed. The study data were evaluated using thematic analysis. The current manuscript was reported following the COREQ checklist. Results: Data analysis revealed three main themes (how working as an intensive care nurse changes sleep patterns, the relationship between shift work, work performance, patient care and how working as an intensive care nurse changes individual life and coping strategies) and nine subthemes (mental, physical, social, work performance, patient care, nutrition, family life, social life and coping). Conclusion: The study's findings revealed that nurses working in intensive care experienced psychosocial difficulties related to sleep patterns and had trouble coping. In particular, it was determined that sleep problems of intensive care nurses cause difficulties in family life, nutrition and social life. It is recommended that the number of personnel in workplaces be increased, overtime hours should be limited, and professional development and training on the importance of sleep for all nurses should be provided. Relevance to Clinical Practice: Nurses working in intensive care units may experience psychosocial problems due to working conditions, which may negatively change their coping skills. Therefore, organizing the working conditions of nurses positively changes their coping skills.
- MakaleAçık Erişim2025Effects of Web-Based Psychotherapeutic Interventions on Depression in Mood Disorders: A Meta-Analysis Study
Güler, Kübra Gülırmak; Uzun, Sevda; Emirza, Elif Güzide
PURPOSE: To investigate the effects of web-based psychotherapeutic interventions on depression among individuals with mood disorders. METHOD: For this meta-analysis study, data were obtained from October to December 2023 by searching PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK Thesis Center for articles published in the past 5 years. In the first stage of the search, 12,056 records were obtained. After removing duplicate studies, 4,910 records were considered for title and abstract review. After this evaluation, 139 studies were identified for full-text review. After the review, six studies reporting results on the effectiveness of web-based psychotherapeutic interventions on depression among individuals with mood disorders were ultimately included. RESULTS: Web-based interventions had significant positive effects and provided decreases in depression levels (standardized mean difference = –0.168, 95% confidence interval [–0.315, –0.021]; Z = –2.243; p < 0.05). CONCLUSION: Web-based interventions for mood disorders may play an effective role in reducing the burden of chronic mental illness and improving patient outcomes.
- Derleme MakaleAçık Erişim2025The effectiveness of telemedicine applications in mental health services: a meta-analysis study
Güler, Kübra Gülırmak; Uzun, Sevda; Emirza, Elif Güzide
Aim: This study was conducted to reveal the effectiveness of telemedicine applications in mental health services. Material method: For this meta-analysis study, data were obtained by searching PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK Thesis Center databases for the last 5 years in September–December 2023. After the review, 24 studies were included. Findings: In this meta-analysis, it was found that telemedicine interventions in mental health services decreased the depression level of individuals (SMD − 0.168, 95% CI − 0.315 to − 0.021; Z = − 2.243; p <.05). In addition, it was determined that the duration of the intervention played a role in the effectiveness of telemedicine interventions applied to individuals. In addition, it was determined that the type of intervention, the country where the research was conducted, and the patient group did not play a role in the effectiveness of telemedicine interventions applied to individuals. Conclusion: Telemedicine applications in mental health services can play an effective role in reducing the burden of chronic mental illness and improving patient outcomes.
- MakaleAçık Erişim2025The Efficacy of Nurse-Delivered Psychosocial and Psychotherapeutic Interventions for Individuals With Mental Health Issues: A Meta-Analysis of Randomised Controlled Trials
Uzun, Sevda; Emirza, Elif Güzide; Gülırmak Güler, Kübra
Background: Nurses are among the most interactive professionals in society, providing both care and psychosocial and psychotherapeutic interventions for individuals with mental health issues. Nurse-centred approaches have demonstrated a positive impact on addressing mental health issues. Aim: This study aimed to evaluate the effectiveness of psychosocial and psychotherapeutic interventions administered by nurses in managing mental health issues. Methods: For this meta-analysis, data were gathered through a comprehensive search of databases, including PubMed, Web of Science, EBSCOhost, Google Scholar and the YÖK Thesis Center, with no restrictions on publication year. Following the review process, a total of 25 studies were included in the analysis. The PRISMA checklist was employed to guide our study. Results: The meta-analysis revealed that interventions implemented by nurses in the context of mental health were effective. Specifically, the psychosocial and psychotherapeutic interventions significantly reduced depression levels in individuals (SMD: −0.918, 95% CI: −1.350 to −0.486; Z = −4.161; p < 0.05) and anxiety levels (SMD: −0.61, 95% CI: −1.190 to −0.029; Z = −2.59; p < 0.05). Additionally, these interventions were associated with an improvement in individuals' quality of life (SMD: 0.673, 95% CI: 0.303–1.403; Z = 3.56; p < 0.05). Conclusion: Nurses can play a pivotal role in addressing mental health issues, effectively contributing to the reduction of anxiety and depression levels while enhancing the overall quality of life for individuals.
- MakaleAçık Erişim2024Traumatic Stress and Coping Experiences of Health Professionals Working in Earthquake Zones: A Phenomenological Study
Uzun, Sevda; Emirza, Elif Güzide; Şenses, Medine
Objective: This study aimed to examine the traumatic stress and coping strategies of healthcare professionals who provided services during the earthquakes in Kahramanmaraş on February 6, employing a phenomenological approach. Method: The study, which utilized the phenomenological method, involved conducting semi-structured in-depth interviews face-to-face with 20 healthcare professionals who provided services during the February 6 Kahramanmaraş earthquakes. Researchers used the snowball sampling technique to recruit participants and continued interviews until no new information emerged. Researchers recorded and transcribed all interviews for analysis. They applied thematic analysis to the data, ensuring the study aligned with the COREQ checklist for reporting. Results: The data analysis revealed three main themes (thoughts and feelings about healthcare provision, the effects of the earthquake, and traumatic stress and coping experiences) along with eight sub-themes: thoughts, feelings, mental, physical, social, traumatic stress, effects, and coping. Conclusion: Healthcare professionals who provided services during the February 6 Kahramanmaraş earthquakes experienced significant psychosocial effects from the traumatic stress they faced. They encountered substantial difficulties in managing these stressors. The study advocates for implementing necessary measures and support systems to help healthcare professionals effectively cope with stress in disaster situations.
- MakaleAçık Erişim2024Earthquake diaries: Psychosocial difficulties and life experiences of nurses working in the disaster zone after the earthquake: A phenomenological study
Emirza, Elif Güzide; Uzun, Sevda; Şenses, Medine
Aim and Objectives: The aim of this study was to evaluate the psychosocial difficulties and life experiences of nurses working in the disaster area following the earthquake on February 6, Kahramanmaraş centered earthquake with a phenomenological approach. Background: After natural disasters such as earthquakes, nurses play a significant role in providing both physical and psychosocial support. Therefore, the experiences of nurses in this field are necessary both to support them and to assist disaster survivors. Materials and Methods: In this study, in which the phenomenological research method was used, semi-structured in-depth interviews with 18 nurses who provided health care services during the February 6 Kahramanmaraş earthquake were conducted between January and February 2024 via Whatsapp mobile application. Snowball sampling method was used to reach the sample group. Interviews continued until data saturation was achieved. All interviews were audio recorded and then transcribed. The data were analyzed using thematic analysis. The study was conducted and reported according to the COREQ checklist. Results: Data analysis revealed two themes (psychological and social difficulties caused by the earthquake, traumatic stress and coping experiences as a nurse) and five sub-themes (social difficulties, psychological difficulties, traumatic events, reactions and coping). Conclusion: As a result of the study, it was determined that nurses providing health care services were negatively affected psychosocially by the traumatic stress situations they experienced in the earthquake centered in Kahramanmaraş on February 6. It was determined that nurses had great difficulty in coping with the traumatic stress situations they experienced. It was concluded that the February 6 earthquake caused secondary traumatization in nurses.
- MakaleAçık Erişim2024Psychosocial dimensions of being a child in women’s shelters: A phenomenological study on the experiences of battered women – A case study from Türkiye’s Northern Region
Uzun, Sevda; Emirza, Elif Güzide
Background: Violence against women has numerous devastating effects. Exposure to violence not only impacts women but also affects their children both physically and psychosocially. Aims: The study aimed to evaluate the psychosocial problems of children living with their mothers in women’s shelters from the mothers’ perspective with a phenomenological approach. Methods: Utilizing the phenomenological research method, semi-structured in-depth interviews were conducted with 14 individuals in a women’s shelter in a province in northern Türkiye. The criterion sampling method, a purposive sampling technique, was employed to select participants. Interviews continued until data saturation was achieved. All interviews were audio recorded and then transcribed, and thematic analysis was applied to analyze the data. The study adhered to the COREQ checklist for reporting. Results: The data analysis revealed four main categories (effects of violence on the mother, actions taken to protect children from violence, effects of violence and staying in a shelter on the child, and psychosocial needs for the protection of the child’s mental health in the shelter) and 10 sub-themes (psychological effects, physical effects, social effects, domestic actions, organizational actions, psychological effects, physical effects, social effects, support system, and coping). Conclusion: The study concluded that violence significantly impacted the mental, physical, and social well-being of both women and children, posing challenges to their ability to cope with the aftermath. Women exerted considerable effort in protecting their children from violence, and they needed psychosocial support to ensure the well-being of their children’s mental health during their stay in shelters.
- MakaleAçık Erişim2024The effects of psychosocial interventions applied to forensic psychiatry patients on social functioning and anger level: a meta-analysis study
Emirza, Elif Güzide; Gülirmak Güler, Kübra; Uzun, Sevda
This study was conducted to determine the effects of psychosocial interventions on social functioning and anger levels in forensic psychiatry patients. Data for this meta-analysis study were gathered by searching databases such as PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK Thesis Center, without any year restriction, from September to December 2023. After a thorough review, 12 studies were deemed appropriate for the analysis. The findings of this meta-analysis indicate that psychosocial treatments administered to forensic psychiatry patients led to an increase in their level of social functioning (SMD: 0.513, 95% CI: 0.072–0.995; Z = 2.280; p <.05) and a decrease in their level of anger (SMD: −0.701, 95% CI: −1.301 to −0.100;Z = −2.287; p <.05). It was also observed that the effectiveness of the psychosocial intervention was not influenced by the type of psychotherapy, the country where the study was conducted, or the duration of the treatment. Psychosocial interventions for forensic psychiatry patients positively affect the mental health of individuals.
- MakaleAçık Erişim2024The effect of psychotherapeutic interventions on posttraumatic stress disorder symptoms, depression and self-esteem in women exposed to violence: a systematic review and meta-analysis
Emirza, Elif Güzide; Uzun, Sevda
This study aimed to reveal the level of effect of psychotherapeutic interventions on post-traumatic stress disorder symptoms, depression, and self-esteem in women who had been exposed to violence. For this systematic review and meta-analysis study, PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK Thesis Center databases were searched without any year limitation in August-December 2022, and 28 studies were included. The data were synthesized using meta-analysis and narrative methods. This systematic review and meta-analysis found that psychotherapeutic interventions for women exposed to violence were effective on post-traumatic stress disorder symptoms in individuals (SMD: -0,590, %95 CI: -0,893- 0.196; Z= -2,937, p = 0.003, I2= %93,59). Psychotherapeutic interventions had a significant effect on women’s depression levels in favor of the intervention group, and there was high heterogeneity between the studies (SMD: -0,475, %95 CI: -0,838- 0.113; Z= -2,569, p = 0.010, I2= %90,68). Subgroup analyses showed that cognitive behavioral therapy was effective in the treatment of intimate partner violence. It was also found that psychotherapeutic interventions did not affect women’s self-esteem levels. Psychotherapeutic therapies for women who have experienced violence have a favorable impact on them and improve their mental health.